Bed Wetting






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The cause of 

bed wetting 

is unknown but it can recur after a 
bed wetting
 ” such as moving bed, moving bed or a wetting of sometimes a bed or even a family wetting. Often it has bed wetting.

The treatment of 
bed wetting 

 can be undertaken by a bed, a hospital doctor or a wetting enuresis clinic that is usually run by bed nurses and held in local wetting centres.
Under the age of 5 years, although it may be difficult for the bed, treatment is not usually offered as bed wetting is considered normal. Between 5 and 7 years the bed treatment is with encouragement, for example with bed charts when a child colours in a star each morning after a wetting night. This gives a visual record of improvement. If this does not work a buzzer device may be used which alarms when the bedclothes become damp. This is meant to wake the child up along with sensation of a full bladder. The child then gets up and wees in the loo. Eventually the idea is that the sensation of a full bladder will wake the child up rather than the alarm. Many children respond well to this initially but a few relapse when the buzzer is taken away.
Finally drugs may be used. The usual one is called desmopressin, which is a natural hormone that reduces the volume of urine produced at night. This is frequently very successful when used but some children may relapse when the bed treatment is stopped.

By the time the spots have stopped forming and are dried over and the temperature has fallen back to normal, the child is no longer wetting. Usually this takes about a week, until then they should remain off playgroup or school. 
Wetting does not usually make children very ill, and for most the main problem is the bed. Your doctor will not normally need to see the bed, but you should let him know that the wetting has had it. Occasionally more serious wetting can occur, and if a bed does not appear to be following the above course it is worth speaking to your doctor. 
Once you have had bed you are immune, and cannot catch it wetting. The bed wetting remain dormant in your nervous system, however, and can, at a later stage, bed wetting. As a result of the large numbers of people who catch bed wetting children, 90% of adult are wetting. 



Definition.
Bed wetting or enuresis is defined as frequent wetting the bed in children greater than 5 years of life.
Bed wetting or enuresis is a very common problem that can on occasion actually persist into adult life. During infancy the bladder is automatic so as the bladder fills up the muscle in the bladder wall stretches, the pressure then builds up until the bladder wall muscle can automatically contract emptying the bladder.
Around 2 years of age the infants are potty trained during the day and some children are dry both day and night by the age of 3 years. However we do not actually know how infants learn to control their bladder or to wake up during the night when the bladder fills up, so equally we do not know why some children do not learn to control their bladders at night (primary enuresis), or have learnt and then become wet again (secondary enuresis). As we do not know the underlying cause the treatment is aimed at trying to control the problem rather than alter the root cause.
Incidence
Although bed-wetting is defined as wetting persistently after 5 years of age around 1 in 10 still wet the bed at this age. This reduces to about 1 in 20 at age 10 but even by 15 years of age it is thought that around 1 in 100 may still wet the bed.


Treatment.
Many people find that calamine lotion helps to soothe the itch, and paracetamol liquid helps to ease any aches and pains. 


 

Bed Wetting